MEDICARE: GARRETT-PRICE HEALTH PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	174400000X	Specialist
2	207Q00000X	Family Medicine Physician
3	2083P0901X	Public Health & General Preventive Medicine Physician
4	171400000X	Health & Wellness Coach
5	261QH0100X	Health Service Clinic/Center
6	261QP2300X	Primary Care Clinic/Center

General Provider Information

NPI Number	:	1083303648
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GARRETT-PRICE HEALTH PLLC

Provider Business Mailing Address
First Line	:	633 W DAVIS ST # 223
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75208-4745
Country	:	US
Telephone Number	:	469-405-1852
Fax Number	:	214-433-6403

Provider Business Practice Location Address
First Line	:	136 GLASS ST STE 140
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75207-6930
Country	:	US
Telephone Number	:	469-405-1852
Fax Number	:	214-433-6403

Authorized Official
Title or Position	:	FOUNDER/PRESIDENT/CHIEF MEDICAL OFF
Name	:	DR. AHMAD GARRETT-PRICE
Credential	:	MD
Telephone Number	:	469-405-1852

Provider Enumeration Date	:	05/01/2023
Last Update Date	:	05/01/2023

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